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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNEI BUILDf,A DETTAR TTONIlE6r rm on& Fdyof tEFr, rhd I o ddF nom ECo rrio6 Li..M L.w for lh. tolh*ins 'cen (Sc7oll5
<br />Baind dd P.ofdhn Co<lc): Any Cnt or Co@ry f,hich rrqut6 r p6n( ro odod, rlt., imFova &mlbh or l4.n ut
<br />!'tu.lu( Fio. ro ir3 Bu@q a!. r.qui6 ih. 6ppli.mt ao. 3kh Fmn ro 6k t ii8n.d nim hd lE or JE a lic6!.d Pusar
<br />ro th. prcvinrd of rlE ConrBld s l.&ru.d I^ (Ct4r6 9, Coffiins *nh Sdiioo 7000 of lrvirion I of lh. BBiB Dd
<br />ProadhNcod.)or$alEdrlEiamF 'd.n o .d rtE h.ti! aor rh..lke.d .rmF ion An! \ iol,lk. of S*lioi ?0115 byrny
<br />rpplic!.r for . FEn sqal' lh. .pOli.n[ to i civ il p.rlry of nor mor. rlu fivc hunttr.d dollG {$too)
<br />l. 6 o\^G otth. F.tdr, or ny dpbt6 vnfi *t8B 6lh.ir sk com[EErhr *ill & llr sqt rld tlE !r.r.tc b hr
<br />i'ia'd.d or or6qj fm rL (Sa 70,4,1, Baina dd P,ol6!bB Cod.: 1'h. Co.ni.rG'! Li.@ L!* &6 nor q,plt
<br />'o
<br />e osn6 oa
<br />'h. Fbpdlt eho trild. or $prov6 dEa.. and whi d.6 r!.h e.t him..lf or nclf or rhFu8h hie or ha osn dph).6,
<br />rovid.d lh.i such inrmlffit G d itdxLd or olE .d 6r sl lt hosqs, tlE tlild,r d nsor€ld i9 nld *ihnr oE !{
<br />orco,rpLrbr llE oqE Ariljs rill ha! dE hrdar ofFlrrE rhl lr or {'. did d hild ff inpm\. $r FnFy for fi. O,F)e.l
<br />l- aro{Eofrh. rFFr}. u eicblndy.oi,id'ns r ith li(dB.d olnr-ro6lo coftrrud rlr Fojd (s( 7041. Bih6
<br />.,i Pl!ftsir (ild.: Thc Conk{roi. Li(d. ttw dod n.r rptlyro M otrnd ofp.oFny sho h{il& or imtrov6lh6@n,
<br />ldd shn o ELl.lor tu.h F.Jdr "nh. ( odr&ro(.)la.6.d puBU,! ro rh.( 6d,x 3l.r@l.$)
<br />I m .ronfl un& Sdnrn
<br />1cf tolt<,
<br />I h(.b) !m.m !nd6 p.Mll! of FruD o* orlll. rolhq in3 &.L.d i.,trt
<br />- I hlvc Ed ! rtl ndinr.in . C61ifi. c of Colgn lo S.la-l6uE rd *uI6' tumFBdion. 6 For d.d ao. b, Sdirf, l7m of rlE
<br />Llbd ( odc tG
<br />'lE Ffdtffi. of llE w* t *tkh rlE Fmh it isFd
<br />I hav. ..d Nrll 'urnri'n wort6 comr.od
<br />'on
<br />,oumncc, d EquEd by sc.lio. l7m oI rh. l.hr ( od.. for
<br />'h. Ffollffi. of
<br />rh. *ort fd *'hih rni psrn ii isrd My *utd NdFldDn 'N@..oi.r .ld Fliy numh.r s.:
<br />I ccnrryrhd in
<br />'h. FformaNc of
<br />'h.
<br />$orl tu rhi.h lhk rEmn it isu.d. I CEllft{ ophy uy F$n in rny n,te
<br />i\ 6 io b<oE it <n b rt'. $rtd' omFdin h*! of ( .lifomir- od rs'r i if I druld beom $bjet
<br />'oth€Mrt6.ooFNriln!rcvkioNofSdlirn.1700of'h.lrhn(l)dqI.h,ll,f.nhvnhcomplysilhrh.spnirioE
<br />WARNINC: railurc to sE *ork6 oitqsdhr coros. i! unhf,tul. .d ,ill $bFd - cr{'ldyn ro diniMl Futir ar,
<br />.r nr6 up ro oE hud.d rtrusld &116 lllo0.00{). i. lldnb! lo rh. c6i .l comr.N{ion. dlEgd a provi'i.d l'or lh.
<br />hhv ( od.. inr66r 6nd .rroma- r 16
<br />I
<br />L*r* .rm uDd.r FlrXy of Fruy lhi I m li6E d !i& Frriri,n orclq,ld I (o"1ll6ils *ih Sanir 7mo) ol Divi.ion 1
<br />ol llE B6iB lld PmfdioB Cod.. .n my k* i h fnfl lo.c. dd.ftd
<br />Ca! f,lrcllrNrllDltic-A(;};!(l
<br />I h.E$) r,Im unrtr Frlit of Fjs_ rhd rh4 ie. coddion L.dir8 rt6c,_ for rh.pqtunMc. of rh. sork tor \h'cn lhR Fni i
<br />t*.J{sd.l0'r?, (iv c.)
<br />ATIII(AXLIII(JAAAIIO!
<br />I hddry rnm udd p6!hy of FrruD oE of th. folhtr ing rlc.LrdhE:
<br />DomlnFn Pftnl^ttdrd Nori0.nan l'd.i.l R.suLr iont ( Ink t0. Prn6)
<br />R.quird t-.rrd of Ndli. i
<br />, c6iii t har rhc lddal rqulnr
<br />'onr
<br />r+edn,U arheno\onoxli'cn.r 3l)Ih.rhl.n, rh's |n,ldr
<br />I cd i6 rhd I h6. E d r hb lrolEatFn -d,dG rhr lh. .no\. inn rdion n cotr.d I.r.rlo mmply \rnh.llCilv,nd (i'mrv
<br />sdiEx6 !d Sr.r. t qs Elni'u ro burldiq cotrrrudhn, drl hd.by surh,rir rcrrMrdiv6 oIrhB Cny ed Cou.ryro oia !A'nrlEnn\c rditr.J ,,nd\ n( ml9^1
<br />.rppricrn or Umr shnaurcA
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathinq //-?-/q % /ot
<br />Shear Wall
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coal
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />ttF|NAL ///2/ /lq rt '-Je lol
<br />Certificate of Occtipancy
<br />Notes, Remarks, Etc
<br />Flood Zone Certif.
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